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Debates and Panels

Sling Selections and What to do When They Fail! 

Thursday, October 5 | 1:30 pm - 2:00 pm | Exhibition Hall C
Speakers: Holly Richter, MD, PhD and Matthew Barber, MD
Moderator: Lyndsey Hayward

This discussion will provide an evidence-based approach to the surgical management of stress urinary incontinence (SUI). Full length midurethral slings are placed via a retropubic or transobturator approach and data exists which may guide an individualized approach. Midurethral slings are the current gold-standard treatment for the primary surgical management and have been used for over 20 years. It is also reasonable to consider that there may be some women who develop recurrent SUI.

Learning Objectives:

  • Compare outcomes with the use of transobturator and retropubic midurethral slings for the treatment of SUI
  • Explore the unique adverse events associated with midurethral slings
  • Discuss surgical approaches to the management of recurrent SUIs
     

Mesh Removal Debate

Friday, October 6 | 8:15 am - 8:45 am | Exhibition Hall C
Speakers: Miles Murphy, MD, MSPH and Roger Dmochowski, MD
Moderator: Christopher Tarnay, MD

The debate regarding optimal management of a patient who have mesh placed and subsequent functional and/or consequences and complications is ongoing. The complexity of functional outcomes related to pelvic floor interventions clearly makes management of mesh complications a multi-factorial undertaking inclusive of optimization of medical, surgical, and social circumstances to benefit the patient. Topics will include the participants' views on what symptoms are attributed directly to mesh, how much needs to be removed, and the impact of mesh removal on future pelvic floor function. 

Learning Objectives:

  • Enumerate the potential outcomes that may arise from any intervention for pelvic mesh complications
  • Discuss optimization of management and counseling related to interventions for mesh complications
  • Describe the pros and cons of partial versus complete mesh excision for mesh-related complications
  • Gain insight into the best diagnostic approaches for evaluation of patients with complaints/concerns after mesh implantation
     

Prevention of Urinary Incontinence: A Behavioral and Basic Science Perspective 

Friday, October 6 | 10:50 am - 11:35 am | Exhibition Hall C
Panelists: Catherine Bradley, MD, MSCE; Marianna Alperin, MD, MS and Gina Northington, MD, MPH
Moderator: Una Lee, MD

Join us for a scientific discussion on what we know, what we don’t know, and where we are going in the prevention of urinary incontinence. We will review the literature on the pathophysiology of both urgency incontinence and stress urinary incontinence. It is only through a deeper understanding of the potential mechanisms, that we can identify pathways to prevent and treat incontinence now and in the future. This session will spark your clinical understanding and ultimately lead to improved patient care and counseling.
 

Insights on How to Navigate Product Controversy 

Saturday, October 7 | 9:30 am - 10:30 am | Exhibition Hall C
Speakers: Julie Cantor MD, JD; Patrick Culligan, MD and Alan Garely, MD 
Moderator: Cheryl Iglesia, MD

Product controversies are one of the largest mass torts in history, and it has caught the attention of our specialty. This session will provide an overview and update on the mesh product litigation. We will also review the litigation’s timeline, explain multidistrict litigation (MDL), and review key legal issues in the product liability field. The session will also include a discussion with two physicians who have served as experts in this litigation. They will share their perspectives and answer audience questions. The session will also cover the potential impact this MDL may have on our specialty.
 

Master Surgeon Presentations

Saturday, October 7 |10:45 a.m. – 11:30 a.m. | Exhibition Hall C

Get a first-hand look at real-world surgeries on Saturday morning. This session will showcase Laparoscopic Nerve Sparing Surgery and Laparoscopic Hysteropexy and provide an overview of how to control massive blood loss while in the operating room.

Laparoscopic Nerve Sparing Surgery
Moderator: Marlene Corton, MD
Surgeon: Nucelio Lemos, MD, PhD

Laparoscopic Hysteropexy Surgery
Moderator: Felicia Lane, MD
Surgeon: Beri Ridgeway, MD


What Are Urogynecologists Going to Get Paid and How?

Saturday, October 7 | 12:30 pm - 1:30 pm | Exhibition Hall C
Panelists: Jonathan Gleason, MD;  Mitchell Schuster, MD and Samantha Pulliam, MD

This timely session will raise awareness about our professions revenue problem, value transformation, and its implications. Reimbursements are down with no indication of a bounce back. This session will inform you about how value transformation will impact FPMRS, your practice, and how we treat patients with pelvic floor disorders.

 

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